Cody Fuller, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

21542 Issued in AL

Practice address

519 W Town PLZ
Bessemer, AL 35020-5347

Phone

(205) 426-1922

NPI assigned

Nov 16, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Pharmacy Services, LLC

  • Community/Retail Pharmacy
  • Bessemer, AL
  • NPI 1942455779
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1629671474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W TOWN PLZ",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205347",
            "telephone_number": "205-426-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W TOWN PLZ",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205347",
            "telephone_number": "205-426-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla R Frazier, OTR/L
• Freds Stores of Tennessee Inc
• Latoya Ann Freeman
• Fresenius Medical Care McCalla, LLC
• Fruits of Apple Tree, Inc
• David M Fuller, M.D.
• Jason Paul Gamble, M.D.
• Robert D Gamotis, D.M.D.
• Sandhya Garg, MD
• Leah N Gates, MA, RD, LD

• Pharmacist in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.